Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Moon

Individual provider Mental Health Counselor · NPI 1972220333

Nicole Moon is a Mental Health Counselor in Roseburg, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

548 SE Jackson St
Roseburg, OR 97470-4983
Phone: (541) 672-2691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1972220333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2022
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

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